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No. 6490260 Name LEPINE, MARIE LOUISE residing at 136 Jackson St., Willimantic, Corn Age 37 years. Date of order of admission May 29,1946 Date certificate issued May 29,1946 by the Superior Court at Putnam, Conn. Petition No. 3640 Alien Registration No. 1043057 marie Louise Lepine (Complete and true signature of holder)

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